1490 NE 101 St (4)Date Job Address / 41'7 ° 'VE: /6/ ST.
Legal Description
Lessee / Tenant E 4A'e G c H 2 c/ (3
Owner's Address / T 9 D At E. • /O/ ST. Phone
Contracting Co.:2 g /%A.e /NE c2 47 k/s 1r/edcriO4 0 Address 7. Z //e . 79 57.
Qualifier A`14X .LA/lsoi✓ SS# - -
State # Municipal #
Architect /Engineer .JAV/ 5 k /,UEE €s . Address ?PO 7tA4/494 CAN44 R ib
M //5-M/ , ,33/4
Bonding Company Address
Mortgagor Address
Permit Type(circle one):(UILDIND ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
WORK DESCRIPTION / E ! C. E T / f i3
Square Ft. 9(O SG?. t T Estimated Cost(value) j � / 434.00
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating constrnc,tion and zoning. Furthermore, I
authorize t =•od -named contractor to do the work stated � �'
Signature of f 9,
Date: _.''
Ala
III
Notary as ti. ,
My Commissio'fr
** *
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
and /or Condo President
OFFICIAL SEAL
MAX LARSON
My Commission Expire
April 7, 1096
pate, t&A> al eitident
,hires:
.
* • * * *
••,
FEES: PERMIT 511 RADON C.C.F. t50 NOTARY TOTAL DUE 57
Fire
Buildin
Mechanical Plumbing_
Zoning
Tax Folio
Master Permit # 3750-5
Phone 25/- 99//
Competency # Ins.Co.
Signature of Contractor or Owner- Builder
Date:
Notary as to Contractor o Own Builder
RA��
My CommissioT ▪ OFFICIAL SEAL
CAROL SUE TIPPINS
My Commission Expires
* A.: *I 7, 199
Comm. No. CC 191 491
* *
Other
Electrical
Engineering
U,� 4ROTE(TION
��p2a 3,'
L` = Department of
_ Environmental Protection
Lawton Chiles
Governor
DATE: MARCH 3, 1995
TO: MIAMI SHORES VILLAGE
FILE NO. 132662476
APPLICANT SCHRAUB, EDGAR D.
Southeast District
P.O. Box I5425
West Palm Beach, Florida 33416
(407) 433 -2650
Virginia B. Wetherell
Secretary
Enclosed is the subject short form application which involves
dredge and fill activities in waters of the State within the limits
of your jurisdiction. Section 403.911, Florida Statutes, as
amended by the 1984 session of the Florida Legislature, requires
the Department to notify the local government within 10 days of
receipt of an application for a dredge and fill permit. The local
government has 14 days from the time it receives the notification
for a short -form application and 60 days from the time it receives
the notification for a standard -form application to file objections
to the application.
Furthermore, the local government may participate as a party to the
procedure and may request a hearing pursuant to Section 120.57,
Florida Statutes, within 14 days after receiving notice of the
Department's intent. If the local government does not file
objections within the designated time period or request an intent
letter, the Department will assume that the local government does
not wish to receive a notice of intent.
Objections should be mailed to CAROLTNE HANES. EXT. 111
at the letterhead address and should reference the file number.
Enclosure: Copy of Application
"Protect, Conserve and Manage Florida's Environment and Natural Resources"
Printed on recycled paper.
P.A.T.S. CHECKLIST
Permit Application Tracking, System
DATE RECD: A 7 / 95 DAY 30 �/ 15 APPL. NO: /3,2a . SL 7 �
APPLICANT NAME: SC h r'yi vio / & jaz .
LEAD PROC. a f /REG. PROC. e f! ,6 /PROP. PROC.
Project and fees reviewed by: Cl —..eo on 3 / / C�
Amount Needed Fee $ Amount Rec'd $ () Correct Amount $ O
Amount Refund $ No Fee Needed _
Dist. of funds: PFTF $ BTIITF$ Type Code M Subtype Code / �-
TYPE OF PERMIT:
Exempt(EX) _ General Permit(GP) Permit Modification (MOD)
TYPE OF PROJE ?T:
Dredge & Fill (D &F) MSSW Mangroves (MA)
Water Class:
WAIVER: BEGINS
Sent Rec'd
Date Date
PROJECTDESCRIPTION:
Section Township South
DATE COMPLETE:
Public notice sent
ENDS /BEGINS ENDS /BEGINS ENDS
REQUEST COMMENTS
Comments required from
Various agencies: Notes
Proprietary Review D I—
'r`!R - 3 1995 ( TitlpLLand Records Stet:
Hvdroaraphic Erlttineering
Stormwater
_ Hydrographic
Hydraulic
Cons Esmt
Land /Title
Other
Div. Marine Resources - OPS
Manatee
Turtles
S.E.A.S.
DERP _
_ Beaches & Coastal Systems
Other agencies
_ Game & Fish Comm.
_ Dept. of State (Archeol)
Dept. Comm. Affairs
i U.S.A.C.O.E.
}SK 3 Co.
- 1995 it
(xCity
Other:
Exemption, Denial Drafted by
Intent drafted by
Final Draft Review by
Final Draft Approved by
Distribution by
Pats Updated by
GPSI, APIS, or PWS updated by
OFW
COMPLETE + 60
Final Processing
Range `r d East
Aq. Pres.: a
COMPLETE + 90
PN PROOF REC'D
Date
Date
Date
Date
Date
Date
Date
R r
C1ass 2 J
9S
Coastal Construc'ii:lcr,
Permit Application f
DEPARIMENI Of ENVIRONMENTAL RESOURCES MANAGEMENI
1. Application number (To be assigned)
J)F /3o2�tP�2 /-7�
4. Applicant Information:
Name: Edgar D Schraub
Address: 1 490 N.E. 1 01 Street
Miami ShorPs r Fl
Phone Number (305) 751- 7 8 4 6
Zip Code 331 3 R
2. Date DaylMonthlyear
6. Describe the proposed activity, its purpose and intended use. including a description of the type of structures, if any. to be erected on fills, or pipe or Iloat•supported
platforms, and the type. composition and quantity of materials to be discharged or dumped and means of conveyance.
Replace 8'x 12' timber dock
Volume of Material:
N/A
DredgedlExcavated FIIIId)Deposited
cY cy N/A Cy
cr
wri.rwrd of 0J1.W. or &U M. Landward of 0.11.W. or M.N.W.
Wat.rnard o OJI.W. or MJLW Landward of OJI.W. or MAW.
7. Proposed Use: (Check One►
go Private
O Public
❑ Convnercial
O Other (explain in remarks)
8. Names and addresses of adjoining property owners whose property also adjoins the waterway
Name
Address:
Zip Code
9. location where proposed activity exists or will occur
Street Address 1 4 9 0 N F 101 41- r p .1-
Sate Florida County Dade
Latitude
longitude
Section 5
Twp. 5 3 S
Range 42 F
In City Of Town t ' am i Shore Near City or Town
10. Name of waterway at location of the activity
Biscayne Bay
5. Applicant's authorized agent for permit application coordination
Name: Dock and Marine Construction
Address: 752 N.E. 79 Street
Miami, Florida
Phone Number (305) 751- 9 91 1
3. For official Use only
Zipcode33138
Name
Address:
Zip Code
•
11: Date Activity is proposed to commence F
Data activity is expected to he completed March '95
12. Is any portion of this activity for which authorization is sought now complete?
I.] Yes
No
If answer Is "yes" give reasons In the remarks section
Month and year the activity was completed
Indicate the existing work on the drawings
D.E.P
D.E.R.M.
u • - u • a
15. Remarks
16. Estimated project cost .
$6,000.00
17. Contractor's name and address
Name:
Address: 752 N. E. 79 S t r p p }-
Miami . Florida Zip Code 331 3R
Phone Number ( 0 5) 7 51 _ 9 91 1
•
1]. List all approvals or certifications required by other Federal, interstate. state or local agencies for any structures, construction, discharges. deposits or other
activities described in this application. including whether the project is a Development Of Regional Impact.
Issuing agency
Type of Approval Identification Number
Date of Application Date of Approval
14. Has any agency denied approval for any activity directly related to the activity described herein?
❑ 'Yes
X] No
18. Application is hereby made for a permit or permits to authorize the activities
described herein.1 agree to provide any additional information /data that may be
necessary to provide reasonable assurance or evidence w show that the
proposed project will comply with the applicable State Water Quality Standards
or other environmental protection standards both during construction and after
the project is completed. I also agree to provide entry to the project site for
inspectors Irom the environmental protection agencies for the purpose 'of
making preliminary analyses of the site and monitoring permitted works. it
permit is granted. I certify that I am familiar with the information contained in
this application and that to the best of my knowledge and belief. such
information is true. complete and accurate. I further certify that I possess the
authority to undertake the proposedpStivities
Signature of owner
Date Feb. 3, 1995
SUBSCRIBED AND SWORN TO BEFORE ME THIS
CR PERSONALLY KNOWN ❑ PRODUCED I
TYPE OF IDENTIFICATION PRODUCED:
...BAY OF gniKi IAL – EA LL- 5 —. BY - -E'1 far D_ CC 9-
'LEASE CitiAlkOtlik
• �, } My Commission Expires
!+� j r April 7, 1996
.,��.
a ••**
- Co rim: No. CC 191467
NOTARY PIIRI II:
i I
Affidavit of Ownership
and Hold Harmless
Agreement
Personally Appeared Before Me, F . d Qa r n
and hereby swears and affirms under oath as follows: a �h , the undersigned authority,
1. That your affiant is the record owner of that certain property more fully described ads: i
1490 N.E. 101st Street
Miami Shores, Florida 33138
2 I i I
That your affiant is also the riparian andlor littoral owner of that certain property that is the subject
matter of Application No. for a Class I permit under and pursuant to Section 24.58 of the
Code of Metropolitan Dade County to construct or engage in the following activity:
Replace 8' x 12' timber dock
3. That your affiant hereby swears and affirms its ownership in the above noted property necessary for the
work noted in Paragraph 2 above, and hereby agree: to defend same and hold the County harmless for
any and all liability, claims and damages of any nature whatsoever occurring, incurred or arising as a
result of your affiant not having proper title to all lands that are the subject matter of this application.
STATE OF FLORIDA
COUNTY OF DADE
Owner IAppf ant
BEFORE ME, the undersigned authority, personally appeared Fd r n gc.►, raub , who, after
being duly sworn, deposes and says that he has read the foregoing, and that the statements contained therein are
true and correct to the best of his knowledge and belief.
Sworn to and subscribed before me this 3rd day of Feb. 1995 .
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DOCK & MARINE CONST.
752 N.E. 79TH St.
Miami, Florida 33138
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